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目的 探讨非手术综合治疗中晚期非小细胞肺癌的疗效及预后。方法 回顾分析 3 3例经病理确诊为非小细胞肺癌患者资料 ,其中Ⅱ期 4例 ,Ⅲ期 2 1例 ,Ⅳ期 8例 ,以CAP方案为主 ,腺癌加MMC ,鳞癌加BLM ,化疗 4～ 5个周期 ,化疗结束后 ,第 4周起进入放疗 ,原发灶DT 60Gy ,纵隔、肺门 46Gy。结果 治疗后 1 ,2 ,3和 4a生存率分别是 61 % ,2 1 % ,9%和 9%。结论 化疗联合放疗的非手术治疗方法 ,可以提高中晚期非小细胞肺癌的缓解率 ,延长生存时间 ,预后较好。
Objective To investigate the efficacy and prognosis of non-surgical treatment of advanced non-small cell lung cancer. Methods Retrospective analysis of 33 cases of pathologically confirmed non-small cell lung cancer patients, including 4 cases of stage Ⅱ, Ⅲ stage in 21 cases, 8 cases of stage Ⅳ, with CAP-based programs, adenocarcinoma plus MMC, squamous cell carcinoma plus BLM, 4 to 5 cycles of chemotherapy, after the end of chemotherapy, the first 4 weeks into radiotherapy, primary tumor DT 60Gy, mediastinum, hilar 46Gy. Results The survival rates at 1, 2, 3 and 4a after treatment were 61%, 21%, 9% and 9%, respectively. Conclusions The non-operative treatment combined with radiotherapy can improve the remission rate of advanced non-small cell lung cancer, prolong the survival time, and the prognosis is good.